Surg Nursing 5/17/13 Test

Question 1

The autoclave uses which type of heat for sterilization?

Answer 1

Steam

Question 2

What can never be mixed with bleach?

Answer 2

Quarternary Ammonium

Question 3

When in surgery, hands should kept where at all times?

Answer 3

Above the waist

Question 4

What are the different types of biguanides and when are they used?

Answer 4

Aqueous solutions and detergents or scrubs. Aqueous solutions are used during dentals, and Nolvasan-S can be used on surfaces. The scrub is used on surgeon or patient.

Question 5

What is the dilution of sodium hypochlorite to kill viruses?

Answer 5

1/30

Question 6

What is another name for a decubital ulcer?

Answer 6

Bed sore

Question 7

What is the maximum temperature reached by boiling?

Answer 7

100C or 212F

Question 8

When would you use inceration?

Answer 8

On non-reusable items or those of no value.

Question 9

What is the benefit of moist heat when compared to dry heat?

Answer 9

Kills bacteria and spores at lower temperatures and in shorter time.

Question 10

What method of sterilization kills by protein oxidation?

Answer 10

Dry heat

Question 11

What happens when you mix quarentary ammonium with bleach?

Answer 11

Toxic cloud forms and can cause an asthma attack or even death.

Question 12

What type of sterilization is used with pharmaceuticals?

Answer 12

Filtration

Question 13

What is the primary goal of the surgeon? Technician?

Answer 13

To correct disease and patient’s life.

Question 14

What three ways can we eliminate or control the source of disease?

Answer 14

Isolation, quarantine, and euthanasia

Question 15

This type of physical sterilization is commonly used during the production and packing of certain surgical products because otherwise they would be damaged?

Answer 15

Radiation

Question 16

What causes a decubital ulcer, and how can this be prevented?

Answer 16

Decrease in circulation due to pressure. Roll animal or use bedding.

Question 17

What type of radiation is rapid and continuous, and used for vaccines, biological, and gloves?

Answer 17

Gamma radiation

Question 18

Surgery is a combination of what?

Answer 18

Art and science

Question 19

What microbe usually causes skin disease?

Answer 19

Fungi

Question 20

How do you prevent the transmission of microbes?

Answer 20

Washing hands, adequate ventilation, physical and chemical

Question 21

What are the disadvantages of hydrogen peroxide gas plasma?

Answer 21

Cannot penetrate walls of instruments.

Question 22

True or False. Sterilization indicators are not required with every pack?

Answer 22

False

Question 23

How does ethylene oxide kill organisms?

Answer 23

Inactivates DNA

Question 24

What is the ideal disinfectant?

Answer 24

There isn’t one

Question 25

When would you use phenols?

Answer 25

When allergic to Chlorhexidine and Iodine

Question 26

In what instance would you use flash sterilization?

Answer 26

When in surgery and the surgeon drops a tool.

Question 27

What are the advantages to hot air ovens?

Answer 27

Economical, will not dull or corode instruments, used to sterilize oils, gels and waxes.

Question 28

What is the difference between disinfectants and antiseptics?

Answer 28

Disinfectants are used on non-living tissue. Antiseptics are used on living tissue.

Question 29

What are biological indicators used for?

Answer 29

Mass production and quality control

Question 30

Name the halogens, and are they disinfectants or antiseptics?

Answer 30

Chloride (Both) Iodine (antiseptic)

Question 31

When using an autoclave, when pressure is increased what also increases?

Answer 31

Temperature

Question 32

What the the 3 types of physical sterilization?

Answer 32

Filtration, radiation and heat

Question 33

Will free flow steam sterilize?

Answer 33

No, just disinfect

Question 34

What is the MINIMUM temp, time and psi of an autoclave?

Answer 34

250F, 15 psi for 15 minutes

Question 35

What disinfectant is used in a cold tray? And how often should you change it?

Answer 35

Glutalderhyde or chlorhexidine. Change every 14 days

Question 36

What is the correct temp, time and psi for flash sterilization?

Answer 36

270-272F, 3-4 minutes and 32 psi

Question 37

What gas smells sweet when running?

Answer 37

Ethylene oxide

Question 38

What 3 things should a good technician have a working knowledge of?

Answer 38

A&P, pathology and diagnostic medicine

Question 39

What sterilization method kills microbes by coagulating critical cellular proteins?

Answer 39

Moist heat

Question 40

What is the difference between items that are sterile and ones that are disinfected?

Answer 40

Sterile- free of microbes | Disinfected- could still have living MO's on them

Question 41

What are some disadvantages to EO gas?

Answer 41

Slow, explosive, flammable, poisonous, carcinogenic and mutogenic

Question 42

What color does the square on a steam indicator strip change to when a pack is considered sterile?

Answer 42

Blue to black

Question 43

Most surgical and post surgical complications arise from what?

Answer 43

Technician error

Question 44

When can an autoclave door be opened?

Answer 44

212F and 0 psi

Question 45

Methods of sterilization can be classsified as what?

Answer 45

Physical or chemical

Question 46

What are the advantages of EO sterilization?

Answer 46

Low temp, and excellent penetration

Question 47

What type of water must be used in an autoclave?

Answer 47

Distilled

Question 48

What are the 3 types of radiation and their uses?

Answer 48

Ultraviolet- used for surfaces and disinfects air Gamma- used for vaccines, biologicals, and gloves Beta- Used for prepackaged suture material, gloves and rubber tubing

Question 49

Successful sterilization depends on what 3 factors?

Answer 49

Proper operation of autoclave, proper loading of instruments into chamber (vertical), and proper pack prep

Question 50

What microbe is considered a major surgical concern?

Answer 50

Bacteria

Question 51

What is the most common method of sterilization?

Answer 51

Heat

Question 52

What is the IDEAL temp, time and psi of the autoclave?

Answer 52

250-270F, 15 psi for 30 minutes